VER 3-11/2017 Appl No.

PRADHAN MANTRI AWAS YOJANA (PMAY)

SELF DECLARATION – EWS/LIG/MIG

I __________________________________________________, S/o/D/o_________________________________________________,
aged _______________years, residing at _____________________________, am applying for Home Loan vide Application
number ___________________________, do hereby declare that;

1. I/We have applied for Housing Loan under following scheme of Pradhan Mantri Awas Yojana Credit Linked Subsidy Scheme.
EWS/LIG MIG I MIG II
2. Details of my Family Members (Age > 18 Years)
S. *Name of family member Relation Aadhaar Number Property Owner Annual
No. (Mandatory) (Yes/No) Income(`)

For MIG cases: * Details of Main applicant, Spouse and unmarried children to be provided
3. Our annual family income from all sources is _______________________________________________________________________
__________________________________________________________________ (Rupees in Words /-)
4. I/We confirm that this is my (including my family members) first PUCCA house and I/We do not own any other PUCCA house in any
location within India.
5. For EWS / LIG: I/We confirm that one of the owner in the property under consideration is a woman; i.e. Wife or Female Head of the
Household. (Applicable for all new purchase cases and only self-construction cases where land deed is executed post 17th June, 2015)
NOTE: Woman ownership is not mandatory for cases where there is no woman member in beneficiary family.
6. For MIG: I/We confirm that carpet area of the property is within the norms specified i.e. between 0-120 Sq. Mt. (1291 Sq. Ft.) for MIG
I Households OR between 0-150 Sq. Mt. (1614 Sq. Ft.) for MIG II Households.
7. I/We confirm that annual family income furnished above is within the specified annual household income norms of EWS/LIG/MIG 1/
MIG 2 Scheme as applicable.

8. I/We confirm that the property considered for PMAY subsidy has basic infrastructure such as electricity supply, water supply and proper
drainage sanitation facility.
9. I/We confirm that I have furnished the details of all the family members as per the definition of a family as mentioned in the PMAY
CLSS operational guidelines.
10. I/We confirm that I/We have not availed subsidy benefit under credit linked subsidy scheme from any other financial institution/Bank
and also should not have availed central assistance under any other housing schemes from Govt. of India.
11. I/We understand that Subsidy in PMAY is subject to approval by National Housing Bank and the decision by NHB would be final.
12. I/We understand and accept that if at any stage, it is found that the information given by me/us is false/not true, all the benefits
given to me/us under the schemes would be withdrawn and legal action as deemed fit, would be taken against me/us.

13. The subsidy claimed and credited to borrower’s home loan account would be reversed and refunded to NHB if the construction is not
completed within 36 months from the date of first disbursement.
14. I/We confirm that we have read and understood the guideline related to PMAY CLSS & are rationally willing to avail the subsidy.

Signature:

Name:
(Borrower) (Co-Borrower 1) (Co-Borrower 2)

Date: Place:
* NHB website guideline Iink: http://nhb.org.in/wp-content/uploads/2017/03/CLSS-MIG-Op-Guidelines2017Mar11.pdf
http://nhb.org.in/wp-content/uploads/2016/09/CLSS_EWS_LIG_English_Guidelines_wb.pdf
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